TRENTON D GRAY (FNP-BC) – Nurse Practitioner, NPI 1639692510

TRENTON D GRAY (FNP-BC) is a healthcare provider. based in Orem, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 11513298-4405 (UT). The NPI Number for TRENTON D GRAY (FNP-BC) is 1639692510

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TRENTON D GRAY (FNP-BC)
NPI
1639692510
Phone
(801) 225-4911
Address
121 S Orem Blvd Ste 103
Enumeration Date
21 July 2017
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012882634
Graduation Year
2017 (9 years ago)
PAC ID
9133485436
Group Practice PAC ID
2769468065
Professional Enrollment ID
I20200123003152
Address ID
UT841202050WE4101XPKWY402
Telehealth
Yes

Contacts

Secure Messaging
tgray31412@direct.acumenmd.com
Secure Messaging
trenton.gray.1@14360.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

2,655 NURSE PRACTITIONER in UT

Provider Addresses for TRENTON D GRAY (FNP-BC)

  • 121 S Orem Blvd Ste 103

    Orem, UT 840583006

    Phone: (801) 225-4911

    Fax: (801) 225-4854

    Type: Location

  • State Street, Wallace Heights, Sandy, Salt Lake County, Utah, 84047, United States

    SOUTH SALT LAKE, UT 841155096

    Phone: (801) 288-2634

    Fax: (801) 288-1186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $27,314.

Total Amount is formed as General ($27,314) + Research ($0) + Ownership ($0) = $27,314.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Horizon Therapeutics plc ($25,717).

Total Amount

$27,314

General + Research + Ownership

Payments

117

Total payment records

General Amount

$27,314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200123003152INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90966Home dialysis services per month (20 years or older)13029$0
99214Established patient office or other outpatient visit, 30-39 minutes6557$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3316$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 84058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769468065View full group profile
NameSpecialtyState
Nephrology, Internal MedicineUT
Nurse PractitionerUT
N E P H R O L O G YUT
Nurse PractitionerUT
-UT
Nurse PractitionerUT
Nephrology, Internal MedicineUT
Nephrology, Internal MedicineUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is the standard ID for TRENTON D GRAY (FNP-BC) in the U.S.?
In the U.S., TRENTON D GRAY (FNP-BC) is identified by NPI 1639692510.
Does the public listing show TRENTON D GRAY (FNP-BC) as active?
TRENTON D GRAY (FNP-BC)'s NPI record reflects an active status in NPPES.
What services align with TRENTON D GRAY (FNP-BC)'s listing?
TRENTON D GRAY (FNP-BC)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to TRENTON D GRAY (FNP-BC)?
TRENTON D GRAY (FNP-BC) shows a connection to Orem, Utah in registry-derived data.
Who maintains TRENTON D GRAY (FNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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